Pre-Registration Specialist 1
Company: Danbury Health Systems
Posted on: June 13, 2021
Nuvance Health has a network of convenient hospital and
outpatient locations - Danbury Hospital, New Milford Hospital,
Norwalk Hospital and Sharon Hospital in Connecticut, and Northern
Dutchess Hospital, Putnam Hospital Center and Vassar Brothers
Medical Center in New York - plus multiple primary and specialty
care physician practices locations, including The Heart Center, a
leading provider of cardiology care, and two urgent care offices.
Non-acute care is offered through various affiliates, including the
Thompson House for rehabilitation and skilled nursing services, and
the Home Care organizations.
Facilitates patient flow through the pre-registration process,
including scheduling and financial clearance, for WCHN and WCMG, so
that patients have a "one touch" pre-registration experience.
Responsible for obtaining demographic and financial information to
ensure accurate patient identification and identify and secure
appropriate payment sources. Performs pre-registration functions
and insurance eligibility verification. Provides estimates for
services when appropriate. Receives and processes patient financial
May be assigned to schedule patients, either by signing into
Avaya telephone queue and taking incoming calls, or placing
outbound calls to patients. Answers all incoming phone calls in a
timely manner. Provides excellent customer service both to
physician offices and patients.
Utilizes electronic scheduling and patient financial systems
(such as Soarian Financials, Soarian Scheduling, and Cerner) to
schedule patients in a timely, yet accurate, manner. Offers first
available appointment which is appropriate for testing that patient
May review patient clinical information in electronic medical
record (EMR) system to determine correct test to be scheduled.
Performs insurance eligibility verification and executes payor
requirements as needed. Includes initiating eligibility
transactions via the Internet, contacting the payor to obtain
billing information and authorization and scripts for service when
Initiates requests for authorizations, pre-certifications,
notices of admission, and referrals from insurance companies.
Utilizes Electronic Medical Record (EMR) system to obtain necessary
clinical information to secure such precertification. Follows up
with payers to ensure that authorizations are in place prior to
time of service. Takes appropriate steps to remediate situations in
which financial clearance is not completed prior to time of service
to ensure that WCHN (hospitals and medical group) receive prompt
payment for services rendered.
Obtains accurate insurance benefit information from payers, such
as deductible, copay, and coinsurance amounts. Utilizes patient
estimation tool to calculate estimate of patient liabilities.
Requires an understanding of coding, procedural protocols and the
charge description master.
Contacts patients to perform pre-registration, including
demographic verification, conveyance of insurance benefits, and
estimates of liabilities. Collects on such liabilities prior to
time of service utilizes provided scripting.
Receives incoming faxed physician orders. Verifies orders for
compliance and accuracy. Contacts patients to schedule and perform
pre-registration, including demographic and insurance verification.
Archives orders into appropriate systems.
Performs accurate search/selection of patient within the
hospital system to maintain the integrity of the Electronic Master
Patient Index (EMPI) and to ensure the accuracy of patient
May schedule appointments for services from patients directly or
physician's offices following the designated protocols of the
scheduling systems (Soarian Scheduling, Soarian Financials, Cerner,
Performs pre-registration functions in the system and enters
accurate and complete demographic and financial information to aid
in securing payment for services rendered.
Responds to telephone calls according to established customer
service standards. Provides requested information to callers.
May initiate contact to patients to obtain additional
information or confirm scheduled appointments.
Contributes to reduction of abandoned call rate, length of
calls, and average speed answered through use of best practices and
workflow improvements as defined by Scheduling Supervisor and
Contact Center Manager.
Fulfills all compliance responsibilities related to the
- Performs other duties as assigned.
Required: Data entry required. Customer service and
organizational skills. Minimum Experience: zero to six months
Desired: Medical terminology. Basic level MS Word & MS Excel.
Experience with insurance.
Location: Bethel-20 Stony Hill Rd
Work Type: Full-Time
Standard Hours: 40.00
Work Schedule: Day/Eve 8
Work Shift: Variable hours between 8:00am to 8:00pm Mon-Fri;
every other Sat. 9:00a-1:00p
Org Unit: 270
Department: Contact Center
- Significant manual skills / motor coord & finger dexterity
- Little or no potential for occupational risk
- Sedentary/light effort. May exert up to 10 lbs. force
- Some exposure to dirt, odors, noise, human waste, etc.
EOE, including disability/vets.
We will endeavor to make a reasonable accommodation to the known
physical or mental limitations of a qualified applicant with a
disability unless the accommodation would impose an undue hardship
on the operation of our business. If you believe you require such
assistance to complete this form or to participate in an interview,
please contact Human Resources at 203-739-7330 (for reasonable
accommodation requests only). Please provide all information
requested to assure that you are considered for current or future
Keywords: Danbury Health Systems, New England , Pre-Registration Specialist 1, Other , Bethel, Northeast
Didn't find what you're looking for? Search again!